Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151
Objective: To discuss the application of Epidemiology in health services evaluation. Data synthesis: The contribution of Epidemiology in health services evaluation occurs mainly in the selection, construction and analysis of indicators and the assessment of performance and impact. Two basic axes gu...
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| Format: | Article |
| Language: | Portuguese |
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Universidade de Fortaleza
2012-01-01
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| Series: | Revista Brasileira em Promoção da Saúde |
| Subjects: | |
| Online Access: | http://ojs.unifor.br/index.php/RBPS/article/view/2066 |
| _version_ | 1818134608023126016 |
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| author | Dixis Figueroa Pedraza |
| author_facet | Dixis Figueroa Pedraza |
| author_sort | Dixis Figueroa Pedraza |
| collection | DOAJ |
| description | Objective: To discuss the application of Epidemiology in health services evaluation. Data synthesis: The contribution of Epidemiology in health services evaluation occurs mainly in
the selection, construction and analysis of indicators and the assessment of performance and impact. Two basic axes guide health services evaluation: the type of indicator used and the
degree of inference needed to conclude whether the results are due or not to intervention. The type of indicator to be used depends, essentially, on what is being measured, the process,
the outcome or both. According to the degree of causal inference, there are three types of evaluation: adequacy, plausibility and probability. This paper presents the designs of studies that can be used in the evaluation of health services according to the degree of inference. Considering the conditions in which health services are structured and proceed, the studies of adequacy and plausibility are more convenient to evaluate the performance and impact of health services. Conclusions: There are still important methodological problems that must be overcome in the impact assessment of public health interventions. These problems include the difficulty associated with randomization, obtaining control groups for confounding factors and the choice of relevant indicators of process and outcome. |
| first_indexed | 2024-12-11T09:11:19Z |
| format | Article |
| id | doaj.art-65b6e2cc3bac460dbf472697cedba146 |
| institution | Directory Open Access Journal |
| issn | 1806-1222 1806-1230 |
| language | Portuguese |
| last_indexed | 2024-12-11T09:11:19Z |
| publishDate | 2012-01-01 |
| publisher | Universidade de Fortaleza |
| record_format | Article |
| series | Revista Brasileira em Promoção da Saúde |
| spelling | doaj.art-65b6e2cc3bac460dbf472697cedba1462022-12-22T01:13:30ZporUniversidade de FortalezaRevista Brasileira em Promoção da Saúde1806-12221806-12302012-01-0124215115810.5020/20662654Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151Dixis Figueroa Pedraza0Universidade Federal de PernambucoObjective: To discuss the application of Epidemiology in health services evaluation. Data synthesis: The contribution of Epidemiology in health services evaluation occurs mainly in the selection, construction and analysis of indicators and the assessment of performance and impact. Two basic axes guide health services evaluation: the type of indicator used and the degree of inference needed to conclude whether the results are due or not to intervention. The type of indicator to be used depends, essentially, on what is being measured, the process, the outcome or both. According to the degree of causal inference, there are three types of evaluation: adequacy, plausibility and probability. This paper presents the designs of studies that can be used in the evaluation of health services according to the degree of inference. Considering the conditions in which health services are structured and proceed, the studies of adequacy and plausibility are more convenient to evaluate the performance and impact of health services. Conclusions: There are still important methodological problems that must be overcome in the impact assessment of public health interventions. These problems include the difficulty associated with randomization, obtaining control groups for confounding factors and the choice of relevant indicators of process and outcome.http://ojs.unifor.br/index.php/RBPS/article/view/2066Serviços de SaúdeEpidemiologiaEpidemiologia dos Serviços de SaúdeAplicações da EpidemiologiaPesquisa sobre Serviços de SaúdeEfetividade. |
| spellingShingle | Dixis Figueroa Pedraza Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151 Revista Brasileira em Promoção da Saúde Serviços de Saúde Epidemiologia Epidemiologia dos Serviços de Saúde Aplicações da Epidemiologia Pesquisa sobre Serviços de Saúde Efetividade. |
| title | Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151 |
| title_full | Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151 |
| title_fullStr | Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151 |
| title_full_unstemmed | Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151 |
| title_short | Epidemiology and health services evaluation - doi:10.5020/18061230.2011.p151 |
| title_sort | epidemiology and health services evaluation doi 10 5020 18061230 2011 p151 |
| topic | Serviços de Saúde Epidemiologia Epidemiologia dos Serviços de Saúde Aplicações da Epidemiologia Pesquisa sobre Serviços de Saúde Efetividade. |
| url | http://ojs.unifor.br/index.php/RBPS/article/view/2066 |
| work_keys_str_mv | AT dixisfigueroapedraza epidemiologyandhealthservicesevaluationdoi105020180612302011p151 |